Medical Information

• Total obstetrical care, including high risk pregnancies.

  We can asist you in any hospital of Monterrey, México.

  Complete gynecological care, including:

  • Major gynecologic surgery
  • Laser surgery
  • Laparoscopic surgery

  Routine annual examinations

  Family planning and counseling

  Infertility counseling and treatment

  Breast conditions and disorders

  Menopause and post reproductive gynecology

  
  

  Hysterectomy

  Laparoscopic Surgery

   

Medical Doctor´s Office [Up]

• Degollado 545 Sur Col. María Luisa. Monterrey, N.L. México.  Código Postal 64040. Phone number: 01152-81-83402818

   

Hysterectomy [Up]

• Hysterectomy is one of the most commonly performed gynecologic surgeries in the United States. Approximately 700,000 women undergo the procedure each year for a variety of conditions ranging from endometriosis to cancer. Unfortunately, 70% of these procedures are still performed through an abdominal incision (laparotomy ). This is termed "Total Abdominal Hysterectomy" or "TAH".

  With rare exceptions (particularly some types of cancer) these hysterectomies can safely be performed vaginally (with or without the assistance of laparoscopy) or totally by laparoscopic techniques. Laparoscopy ("belly-button surgery") is commonly used to assist in the vaginal completion of the operation in those cases that would otherwise require an abdominal incision.

  When the hysterectomy is being performed for endometriosis, laparoscopically assisted vaginal hysterectomy (LAVH) is preferable to an open procedure. In this circumstance, endometrial implants are removed along with the uterus (and possibly the ovaries). If endometrial implants are left behind (even when the uterus and/or ovaries are removed), Pain from endometriosis may continue after surgery. Operative laparoscopy allows the surgeon to accurately and completely remove implants of endometriosis prior to vaginal removal of the uterus.

  If the hysterectomy is being performed for fibroids (regardless of their size or number), an abdominal incision (TAH) is rarely required to complete the operation. These procedures can usually be completed vaginally or with laparoscopic assistance. These cases are also amenable to laparsocopic supracervical techniques.

  Patients undergoing hysterectomy for pelvic pain (for which no cause has been found) benefit from laparoscopic evaluation of the pelvis as part of their procedure. This allows the surgeon to inspect the abdomen and plan the proper procedure accordingly. If a cause for pain is identified, it is treated laparoscopically and the hysterectomy completed vaginally. If no reason is found for the pelvic pain when the pelvis is inspected laparoscopically, hysterectomy may not cure the pain.

  Many patients who have had previous abdominal surgery (cesarean section, ovarian cysts, fibroids, adhesions, endometriosis, tubal pregnancy) are told they will require an abdominal incision to complete their hysterectomy. In most cases, this is unnecessary. A gynecologist skilled in laparoscopic surgery will usually be able to complete the hysterectomy using a combination of laparoscopic and vaginal techniques. This provides the patient with the unquestioned benefits of vaginal surgery and avoids those problems associated with an abdominal incision.

  Regardless of the pathology leading to hysterectomy (with the exception of cancer) most patients undergoing vaginal hysterectomy or laparoscopically assisted vaginal hysterectomy (LAVH) will go home within 48 hours of their surgery, some as early as 18 hours. Most are able to resume normal activities between 10 and 21 days following surgery. Barring complications (which may occur with any surgical procedure), vaginal hysterectomy and LAVH result in a savings of 1 to 2 days in the hospital and 2 to 4 weeks recovery.

   

Laparoscopic Surgery [Up]

• Often called 'belly button surgery', laparoscopic surgery involves small (1/4 inch) incisions in the abdomen (usually three) through which major surgical procedures can be performed. The first of these incisions is made in the umbilicus ("belly button"). A laparoscope (something akin to a telescope) is placed through this incision and attached to a small videocamera. The video image is viewed on a television monitor in the operating room. By moving the laparoscope closer to the pelvic organs, magnification up to 6 X can be achieved.

  After the laparoscope is placed through the umbilicus, two or three other small (1/4 inch) incisions are made in the abdomen, usually in or near the pubic hairline. Electrodes, lasers, instruments and sutures are passed through these incisions to complete the operation. These instruments are very small (from 1.5 to 4.5 millimeters in diameter).

  The combination of small instruments and magnification enable surgical precision that is almost impossible to achieve at laparotomy. By comparison, there is no magnification of the operative field during laparotomy, and the surgeon's hands and large surgical instruments obscure the operative field. The precision attained during laparoscopic surgery becomes extremely important when the gynecologist is treating endometriosis, adhesions, ovarian masses, and gynecologic cancer.

  By comparison, Laparotomy (the technique by which most gynecologic procedures are accomplished) involves an incision in the abdomen usually measuring 5 to 11 inches long. This incision is horizontal (the so-called "bikini" incision) or vertical (from the pubic bone to the belly button). This large incision is required for gynecologists to use standard surgical instruments. This significantly larger incision is associated with a much longer recovery, more postoperative pain, longer hospital stays, and more potential complications than the same procedure performed by laparoscopic techniques.

  The advantages of laparoscopic surgery over conventional laparotomy are unquestioned. Most patients undergoing laparoscopic surgery are dismissed the same day, although a few may require an overnight stay in the hospital. Recovery (return to normal activity) from laparoscopic surgery is 3 to 5 weeks shorter than comparable procedures performed at laparotomy. Patients experience less postoperative pain, shorter and more comfortable recovery, outcomes are at least as good (if not better), and costs to the healthcare system are less when gynecologic surgery is performed using laparoscopic techniques.

  Why are so few major gynecologic procedures performed laparoscopically? The answer is relatively simple. Major laparoscopic surgical procedures are difficult for most gynecologic surgeons to master. The gynecologist must perform many simple laparoscopic procedures to develop the skill necessary to perform the more complex surgeries. They must perform these procedures on a regular basis to develop and maintain expertise. Unfortunately, the average gynecologist in the United States performs only one surgical procedure each week, a case load insufficient to develop or maintain skills necessary to perform the more advanced (complex) laparoscopic procedures. As a result, unfortunately, most gynecologic surgeries for benign disease are still performed abdominally, although experts throughout the country agree that the vast majority could safely and efficiently be performed laparoscopically.

   

[Up]

Menopause, Osteoporosis, Vaginites, Cystites, Ginecologyc Cancer, Condylomes, Incontinence & Prolapse, Adhesions, Infertility, Sexuality, Ovarian Cyst & Tumors, Amenorrhoea, Abnormal Pap Smears, Congenital Anomalies, Breast Cancer, Endometriosis, Pelvic Pain, Mastopatie, Vulvar Distrophy, Condylomata, Tubal Sterilization Reversal, Laparoscopy, Endometrial Ablation, Laparoscopic Hysterectomy, Fibroids, Microsurgical Tubal Repair, Ectopic Pregnancy